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San José (Costa Rica): Difference between revisions

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{{setLocation
{{setLocation
|Country=Costa Rica
|Country=Costa Rica
|City=San Jose (Costa Rica)
|City=San José (Costa Rica)
}}
}}


[[ile:Plaza sanjosecostarica.jpg|400px | thumb|right|]]
[[File:Plaza sanjosecostarica.jpg|400px | thumb|right|]]


'''OVERVIEW'''  
'''OVERVIEW'''  
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


* For a list of contraceptive options available in Costa Rica, click [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CR here].
* In Costa Rica, you can purchase '''birth control pills''' ("píldoras anticonceptivas” in Spanish) over-the-counter. You can find phasic and combined pills, and the brands typically come from Germany, the UK and the USA. Some brands you may see are Cilest, Femiane, Gynovin, Harmonet, Lo-Rondal, Microgynon, Microgynon-30, Minulet, Miranova, Mirelle, Nordette, Norgylene, Norinyl, Norinyl 1+50, Qlaira, Trinordiol, Yaz, Yasmin and Yermonil.  
* In Costa Rica, you can purchase '''birth control pills''' over-the-counter. You can find phasic and combined pills, and the brands typically come from Germany, the UK and the USA. Some brands you may see are Cilest, Femiane, Gynovin, Harmonet, Lo-Rondal, Microgynon, Microgynon-30, Minulet, Miranova, Mirelle, Nordette, Norgylene, Norinyl, Norinyl 1+50, Qlaira, Trinordiol, Yaz, Yasmin and Yermonil.  
* If you want a '''contraceptive shot/injectable''' ("anticonceptivo inyectable” in Spanish), you can find options produced in Brazil, Mexico, Costa Rica, USA and Germany. You can get the injection at pharmacies. Some of the brands are Cyclofemina, Depo-Provera SAS 150mg/ml, Mesigyna, Norigynon, Noristerat, Proter, Topasel and Yectames. One local says: "I think injectable contraceptions methods are not being offered by through the public health care system. However you can buy them at a pharmacy. Drugstores in Costa Rica have registered physicians that can apply them."
* If you want a '''contraceptive shot/injectable''', you can options produced in Brazil, Mexico, Costa Rica, USA and Germany. Some of the brands are Cyclofemina, Depo-Provera SAS 150mg/ml, Mesigyna, Norigynon, Noristerat, Proter, Topasel and Yectames.
* If you want a '''contraceptive implant''' ("implante anticonceptivo” in Spanish), you can find Norplant, which has Levonorgestrel 36 x 6 mg and is produced by Bayer HealthCare. However, one local reported that they're not commonly used by women in Costa Rica.
* If you want a '''contraceptive implant''', you can find Norplant, which has Levonorgestrel 36 x 6 mg and is produced by Bayer HealthCare.
* If you want an '''IUD''' ("DIU” in Spanish), you can get Mirena, which is a hormonal IUD with Levonorgestrel 52 mg, and it's produced by Bayer HealthCare.
* If you want an '''IUD''', you can get Mirena, which is a hormonal IUD with Levonorgestrel 52 mg, and it's produced by Bayer HealthCare.


===Costs===
===Costs===
* If you go through the public health care system, you can get birth control and condoms for free in Costa Rica. Otherwise, you can expect to pay between $10 to $30 USD/per box (one month supply) of birth control pills.
* One local says, "I paid around $20 USD per month on Qlaira birth control pills. I then switched to Mirena (iud) and payed around $300 for getting it placed." (March 2017)


==Emergency Contraception (Morning After Pill)==
==Emergency Contraception (Morning After Pill)==
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* In Costa Rica, you can get an STI test at a public clinic or private clinic. If you want to go to a public clinic, the services should be pretty good. However, if you want the highest-quality and fastest services, you can choose to go to a private clinic. Some of the best private hospitals/clinics in the city are  The Clínica Bíblica, Cima Hospital and the Clínica Católica.   
* In Costa Rica, you can get an STI test at a public clinic or private clinic. If you want to go to a public clinic, the services should be pretty good. However, if you want the highest-quality and fastest services, you can choose to go to a private clinic. Some of the best private hospitals/clinics in the city are  The Clínica Bíblica, Cima Hospital and the Clínica Católica.   
 
* At [http://www.hospitallacatolica.com/en/homepage Hospital La Catolica], they offer the following STI tests, as of February 2017: HIV ¢23.140,00, PCR Chlamydia y Gonorroea  ¢51.300,00, VDRL (Sifilis)  ¢9.140,00
* At [www.hospitallacatolica.com/en/homepage Hospital La Catolica], they offer the following STI tests, as of February 2017: HIV ¢23.140,00, PCR Chlamydia y Gonorroea  ¢51.300,00, VDRL (Sifilis)  ¢9.140,00  


===Support===
===Support===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


* If you have a yeast infection, you can ask the pharmacist for Fluconazole. The words for "yeast infection" in Spanish are " infección por levaduras."
* If you have a yeast infection ("infección por levaduras" in Spanish), you can ask the pharmacist for Fluconazole, which is antifungal medication. They'll be able to give you Fluconazole or something similar.
* This is how you say "urinary tract infection" in Spanish: "Infecciones de las vías urinarias"
* If you have a urinary tract infection ("Infecciones de las vías urinarias" in Spanish), you can contact a doctor/pharmacist to find out next steps.
* Costa Rica has no national HPV vaccination program, according to a 2016 report.<ref>[http://www.hpvcentre.net/statistics/reports/CRI_FS.pdf Costa Rica: Human Papillomavirus and Related Cancers, Fact Sheet 2016]</ref> However, you should probably be able to find the HPV vaccine in hospitals and clinics.
* Costa Rica has no national HPV vaccination program, according to a 2016 report.<ref>[http://www.hpvcentre.net/statistics/reports/CRI_FS.pdf Costa Rica: Human Papillomavirus and Related Cancers, Fact Sheet 2016]</ref> However, you should probably be able to find the HPV vaccine in hospitals and clinics.
* There appears to be no national PrEP (Pre-Exposure Prophylaxis) program.<ref>[http://www.prepwatch.org/ PrEPWatch World Map]</ref>
* There appears to be no national PrEP (Pre-Exposure Prophylaxis) program.<ref>[http://www.prepwatch.org/ PrEPWatch World Map]</ref>
* We're not sure if PEP (Post-Exposure Prophylaxis) is available in Costa Rica -- if someone does, please update this page!
* You can obtain non-occupational Post Exposure Prophylaxis Medication (NPEP) after being exposed to HIV within 70 hours at "La Caja de Seguro Social ( referenced: as per interview with head Pharmacist at UNIBE ClINICA EBAIS TIBAS, 2016) However, all 3 medications will come at a cost of over $1500 USD (for non-residents). You will need to purchase one months worth of 3 sets of pills: Tenofovir, Raltegravir and Lamiduvine; (OR), Tenovovir, Kaletra and Lamiduvine.


===Costs===
===Costs===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


In Costa Rica, you can find pads, tampons and menstrual cups. Pads are the most readily accessible, and they can be found in pharmacies and grocery stores. While you can find tampons, there's a limited variety and they're not sold in all stores. You can purchase menstrual cups from [https://www.facebook.com/Femmecupcostarica/ FemmeCup Costa Rica] or you can buy DivaCup online from [http://www.mamaecologica.com/ Mama Ecologica] (Avenida 3 Calles 2 y 4 Santo Domingo, Heredia Province, Costa Rica).
In Costa Rica, you can find pads, tampons and menstrual cups. Pads are the most readily accessible, and they can be found in pharmacies and grocery stores. Regarding tampons, you can find them in Costa Rican cities. You can purchase menstrual cups from [https://www.facebook.com/Femmecupcostarica/ FemmeCup Costa Rica]. They have Femmecup (small size) in 20,000, Fleurcup (small size and large size) 18,000 (no pouch) and Naturcup (L) in 22,000. You can also buy DivaCup online from [http://www.mamaecologica.com/ Mama Ecologica] (Avenida 3 Calles 2 y 4 Santo Domingo, Heredia Province, Costa Rica).  
 
Here's what some locals sayː
* Local Testimonial 1ː "You can get tampons everywhere! Drugstores, supermarkets, mini-markets, 'pulperias.' Wherever you can get groceries, you will find tampons."
* Local Testimonial 2ː "Tampons you can find in every supermarket and every convenience store. In the smallest remote towns you might not be able to, because it's little known or taboo. But even in most little beach towns, for example, you can definitely find them. Also most every drug store carries them. Now we're starting to see the menstrual cup be also available, but just in the cities."


===Costs===
===Costs===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===
* [http://www.hospitalsanjose.net/ CIMA Hospital]: This hospital was recommended by a San José local who says they have "great gynecologists." Address: Autopista Próspero Fernández, San José, San Rafael, Costa Rica. Phone: +506 2208 1000.
* "I can highly recommend both María Peñaranda and Alberto Johanning. They both have their practices in CIMA hospital, in San José (the capital)." - San José local


===Costs===
===Costs===
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* You can potentially get the "abortion pill" by mail. Check out [https://www.womenonweb.org/en/i-need-an-abortion this link] for details
* You can potentially get the "abortion pill" by mail. Check out [https://www.womenonweb.org/en/i-need-an-abortion this link] for details
* If you are looking to obtain an abortion, there is an underground network of pro-choice doctors and feminists who may help you. Ask around.
* If you are considering leaving the country to obtain a legal abortion, you can legal abortions on request in [[Mexico City]], [[Uruguay]], [[Guyana]], [[French Guiana]] and the [[United States]].
* If you are considering leaving the country to obtain a legal abortion, you can legal abortions on request in [[Mexico City]], [[Uruguay]], [[Guyana]], [[French Guiana]] and the [[United States]].


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==List of Additional Resources==
==List of Additional Resources==
* [https://www.ministeriodesalud.go.cr/ Ministry of Health]
* [https://www.facebook.com/pg/ADCCostaRica/ Asociación Demográfica Costarricense (ADC)]: "ADC is a strong advocate of sexual and reproductive health and rights in Costa Rica through research, education, and campaigns aimed at influencing national policies." The website currently seems to be down but they have a Facebook page. Email: info@adc-cr.org
* [http://www.aguabuena.org/ingles/ The Agua Buena Human Rights Association]: "Working for access to medication and treatment for people that lives with VIH/AIDS in Latin América & the Carribean." Email: rastern@racsa.co.cr
* [http://www.cipacdh.org/ Center for Research and Promotion for Central America of Human Right (CIPA)]: This is an LGBT rights organization, established in 1999. Call +506 2280 7821. Email: cipacdh@racsa.co.cr
* [https://www.lonelyplanet.com/costa-rica/practical-information/directory/lgbt-travellers/a/nar/1e28f75c-7cd2-4d01-8888-681fd8573eb0/358221 Tips for LGBT Travelers in Costa Rica]


==References==
==References==
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|title=Gynopedia
|title=Gynopedia
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|titlemode=append
|keywords=san josé, costa rica)contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health
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|description=Find sexual, reproductive and women's health care in San José (Costa Rica).
|description=Find sexual, reproductive and women's health care in San José (Costa Rica).
}}
}}

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